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Lipoplasty

Background

Lipoplasty, also called liposuction and suction-assisted lipectomy, removes deposits of excess fat from specific areas of the body including the face and neck. The procedure can slim hips and thighs, flatten the abdomen, shape the calves and ankles, or eliminate a double chin. Lipoplasty is well suited for women and men who are of relatively normal weight but have isolated pockets of fat. These localized fat deposits typically do not respond to diet or exercise. While it is possible to undergo lipoplasty at almost any age, best results will be obtained if the skin still has enough elasticity to achieve a smooth contour following fat removal. Lipoplasty can be performed on several areas of the body at the same time and can also be combined with other aesthetic plastic surgery.

Technique

Fat is removed by inserting a small, hollow tube, called a cannula, through one or more tiny incisions near the area to be suctioned. Incisions are placed as inconspicuously as possible, often within skin folds or contour lines. The cannula is connected by tubing to a vacuum pressure unit. Guided by the surgeon, the suction device literally vacuums away unwanted fat. Plastic surgeons use various techniques to suction the deep or more superficial layers of fat. The fat removal technique depends on many factors and must be determined on an individual basis. Choice of technique is much less important than choice of a surgeon certified by the American Board of Plastic Surgery (ABPS).

Benefits

• Significant complications from lipoplasty are infrequent.
• Results of lipoplasty are permanent, as long as the patient maintains the postoperative weight. Even if a few pounds are gained, weight may be distributed more evenly.
• The patient may be able to return to work in a few days. Resumption of most normal activities is usually possible within one or two weeks and some form of exercise may be possible soon after.

Other Considerations

• Every surgery carries some risk. Potential complications include bleeding, infection, poor healing, and reaction to anesthesia.
• Lipoplasty is not a substitute for overall weight loss, and is not an effective treatment for cellulite.
• Healing is gradual: Fluid retention and swelling following surgery may delay the appearance of a slimmer contour. Swelling usually subsides a week or so following surgery, while bruising can last three weeks or longer.
• Because of individual factors, results of lipoplasty vary.